The long-awaited 7th edition of the AACN Procedure Manual for High Acuity, Progressive, and Critical Care has just been published by Elsevier. The title itself has been updated to acknowledge that use of the procedures has expanded beyond the traditional critical care environment into a diversity of settings, reflecting that patient needs are not determined by a physical place.

During the development of an update it is determined which procedures should be eliminated and which should be added. Not all procedures can be included in one manual, so the goal is to include those procedures related to new and emerging trends in patient care. For example, added procedures include extracorporeal life support, extracorporeal membrane oxygenation, and noninvasive cardiac output monitoring. Procedures that remain from the previous edition have been updated to reflect current practice and available evidence. In some cases, procedures have been combined to be inclusive of activities that...

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